SearchCalifornia225400000X

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NPI 1649507716 · on the registry since 2009 · sole proprietor

Practice

Address
13950 Milton St. Suite 303
Westminster, CA 92867
Phone
(714) 901-4629
Fax
(714) 901-4639
Clinicians at this address
2

Registry record

Primary taxonomy
225400000X
225400000X
Sex
Male
Record last updated
2009-11-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California